Voluntary Self Disclosure of a Disability
In order to comply with Executive Order 31, we ask that all employees complete this
anonymous form to assist the New York State Office of the Chief Disability Officer in both determining
how many people with disabilities are currently working for New York and ensuring
that every state agency is improving in the hiring of people with disabilities.
This survey will be offered to every state employee every three years, as people's
disability status can change. Completing this form is voluntary, however, we sincerely
hope that you will choose to do so. All of your answers will be anonymous. Your decision
to complete this form will never result in any harm, retribution, or retaliation.
To complete the survey, please follow this link.
- Date—Enter the date the form is completed.
- Agency of Employment—Farmingdale State College
Please note that if you wish to complete the form, you will need to submit it within
five days.
For any questions regarding this survey or Executive Order 31, please contact Jessica
Durso in the Office of Human Resources at dursoj@farmingdale.edu.
We thank you in advance for your cooperation.
